Physician Compare National (NPI:1760583553)

HEALTHCARE PROVIDER: RAYMOND LUKE SOLETIC MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760583553
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214973700
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100213000031
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SOLETIC
	Individual professional last name
Provider First Name	RAYMOND
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1615 NORTHERN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	MANHASSET
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	110303033
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5163657952
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330195
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y